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Psychological Assessment and Therapy with Older Adults: What to Expect in a First Session
Listen To My Latest Podcast Episode: Psychological Assessment and Therapy with Older Adults: What to Expect in a First Session
Aging parents and sibling relationships are super complicated! Throw caregiving demands on top of family conflict, and what do you get? Resentment! Burnout! And, family members not talking for months or years at a time!
These tips will help to prevent burnout when caring for aging parents and strengthen the relationships between you and your siblings. I mean, who doesn’t want that?
When you have concerns about your aging parents' needs or care, it can be helpful to call for a meeting between you and your siblings so that everyone can get on the same page.
This is really important because you may have your own ideas about how things should be done while your siblings have their own ideas. Not to mention that you may be aware of some of your parents’ care needs and your siblings may be aware of other care needs. As you can see, it really does make sense to plan some time together to get on the same page!
Helpful hint: Starting these conversations early will help to alleviate the pressure of having to address everything in one meeting.
When you do meet to talk about your aging parents’ care and needs, it can be helpful to list out everything that needs to be done.
After coming up with the list, prioritize the items to help you get a sense of what needs to be done now and can wait. For example, if your parent has just been in the hospital and has discharged home, start with the tasks related to your parent’s current needs.
When you create your list, talk about what's currently working well, what's not working so well, and what tasks need to be assigned.
You might consider:
Once you have listed the various tasks, divide them up among each of you. It can help to consider where each of you are living in proximity to your parents as you divvy up the tasks.
For example, if you're living in the same city as your aging parent, you might agree to do more of the hands-on tasks like taking your parent to the doctor, going to the grocery store, or coordinating meals.
If you're the one living in close proximity to your aging parents, you might find that many of the care tasks fall on you, and as a result, your parents may start to rely on you even more when they begin to need more help.
Meanwhile, it seems like your siblings who live further away get to pick and choose how much they want to be involved. This is a recipe for burning you out and straining your relationships with your siblings. So, when you notice this happening, reach out to your siblings and ask to revisit the conversation on divvying up tasks.
If you live in a faraway city or state, consider helping with financial planning or calling around for resources. You might even take on some of the emotional support for your aging parents by having regular phone conversations and checking in with them about how they're doing. It's really important if you live in another city or state to be willing to offer consistent help and support to your parents so that not all of the burden falls on the person who lives closest to your parents.
As you divide up tasks, consider each other's strengths and limitations. If you have a sibling who’s really good at managing money, but not so good at TLC, consider them for financial management tasks. If you have a sibling who enjoys grocery shopping and making meals, consider them for this task. If you hate going to the doctor, choose a different task.
I'll share some of my personal limitations and strengths.
My family teases me when it comes to making meals. Since I was a teenager my mom and brothers would joke whenever I would cook and say that I burn water. Don’t get me wrong! I love to eat and I will spend what feels like half of my mortgage on a delicious meal, but I have no creativity when it comes to preparing food and I HATE going to the grocery store. So, when it comes to helping my aging parents, meal planning and preparation would NOT be the task that I would sign up for. This is a limitation for me.
On the other hand, I’m literally an expert at going to the doctor and being in hospital settings. I started volunteering in hospitals when I was 14 years old and have been affiliated with hospitals and medical clinics ever since. I’m super comfortable in hospital settings (inpatient, outpatient, cancer clinics, skilled nursing facilities, even hospice care communities). So, helping my parents with their medical care is something that I would sign up for. I’m really good at it. And, it’s meaningful to me. I consider this a strength!
There’s an unspoken belief in caring for aging parents that you must be the dutiful caregiver and take on whatever needs to be done at the expense of your own boundaries and needs.
It's important to know that it's ok and actually even healthy to have boundaries when it comes to caring for your aging parents. This goes for you and this goes for your siblings!
The discussion around boundaries takes some work because most of us are not practiced in identifying and communicating our boundaries. So, let me help.
Here's a simple way to communicate about boundaries in caregiving!
The same goes for your siblings. When your sibling tells you that they have a boundary around a caregiving task, it's important that you respect their boundaries as well.
In my practice, I frequently see families who struggle with getting clear about boundaries, communicating boundaries, and honoring one another’s boundaries. This can lead to all sorts of strain in sibling relationships, resentment, and even not talking to one another for months or years.
FAQ: "So now that we have all of these boundaries, what do we do when our parents need more care than we can provide?"
You may find that your parents need more care than you or your siblings can give. If this is the case, it can be helpful to learn about various living options for older adults and support programs.
In my free Starter Kit, I share different types of care and living environments for older adults. Download it here!
As you and your siblings talk about your parents' care, it' s important to communicate respectfully and be kind with one another. You and your siblings are going through an emotional time. It's painful and scary to see our parents decline and lose independence.
Being compassionate with one another will help you weather many of the storms that come with caring for aging parents. The more you're able to be kind and compassionate with one another, and treat each other respectfully, the better.
FAQ: How do I communicate respectfully when I'm overwhelmed?
If you find that you and your sibling are talking over each other, raising your voices, or one of you is talking loudly and the other has shut down, this would be the time to say. “You know what? I’m getting overwhelmed and not communicating effectively. Let’s take a break and set up another time to talk. Would you do be willing to do that with me?” Then you must ask to come up with a time to talk.
Taking responsibility for your own feelings, asking to take a break, and saying that you’d like to return to the conversation at a calmer time will help you and your sibling remain kind and respectful with each one another, AND will strengthen your relationship! This is easier said than done, so really be kind to yourself as you try this.
Sometimes with caregiving we have expectations and ideals that the care we (or our siblings) give to our aging parents has to be perfect - the thing that Hallmark stories are made of.
But, life doesn't work out that way. When you're stressed, have deadlines at work, your aging parent is in the hospital, and your adolescent is going on their first plane ride without you, suddenly the Hallmark fantasy comes crashing down and you have to figure out how to let “good enough” be ok with some of your caregiving tasks.
The same goes for your expectations of the care your siblings provide to your parents. Caring for aging parents is hard and we all have to figure it out in our own way. It'll help your relationship with your siblings, if you give them the space to provide care in their own way.
Treating yourself and your siblings with loving kindness and respect while going through the emotional process of caregiving can prevent resentment and burnout when caring for aging parents. And, can actually strengthen the bond between you!
Lots of love to you, your siblings, and your parents!
Dr. Regina Koepp
PS: Share this article with your sibling and see where the conversation takes you!
I'm a Stanford trained, Board Certified Clinical Psychologist specializing with older adults and families! I'm an Assistant Professor at Emory University School of Medicine Department of Psychiatry & Behavioral Sciences, and a staff Psychologist working with older adults and families at the Atlanta VA Health Care System. I'm a mom of two little kids and a daughter to aging parents.
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